Organization
SOUTH HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHA MOHAMUD ELMI (OWNER)
(703) 750-1101
Entity
Organization
Contact information
Practice address
4601 PINECREST OFFICE PARK DR STE F, ALEXANDRIA, VA 22312-1442
(703) 750-1101
(703) 750-1102
Mailing address
4601 PINECREST OFFICE PARK DR STE F, ALEXANDRIA, VA 22312-1442
(703) 750-1101
(703) 750-1102
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-14989
VA
Other
Enumeration date
08/13/2013
Last updated
03/19/2020
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